1.ง่าย
อาการใดเป็นลักษณะทั่วไปของโรคครูป (croup)?
- Aไอเสียงเห่าคล้ายแมวน้ำ
- Bน้ำลายไหลและกลืนไม่ได้
- Cเสียงหวีดเฉพาะตอนหายใจออก
- Dเสียงวู้ปหลังไอเป็นชุด
2.ง่าย
By about what age does the Moro (startle) reflex normally disappear?
- AAbout 12 to 15 months
- BAbout 2 to 4 weeks
- CAbout 4 to 6 months
- DAbout 2 to 3 years
3.ง่าย
How is congenital hypothyroidism treated?
- AAn iodine-free diet from birth
- BA single dose of radioactive iodine
- CRemoval of the thyroid gland in infancy
- DDaily levothyroxine, usually for life
4.ปานกลาง
Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?
- ASlow the transfusion and give paracetamol (acetaminophen)
- BGive an antihistamine and continue
- CStop the transfusion
- DFinish the unit quickly, then report it
5.ปานกลาง
Which group of findings is typical in a teenager with severe anorexia nervosa?
- ASlow heart rate, low blood pressure and low body temperature
- BWeight gain, oedema and high blood pressure
- CRapid growth, acne and an increased appetite
- DFast heart rate, high blood pressure and a high fever
6.ปานกลาง
Which temperature is usually taken as fever in a child?
- A39.5 °C (103.1 °F) or higher
- B37.5 °C (99.5 °F) or higher
- C37.0 °C (98.6 °F) or higher
- D38.0 °C (100.4 °F) or higher
7.ยาก
The 7-year-old brother of a child with cancer has started misbehaving at school. What is the most likely explanation?
- AHe is copying behaviour from other children in his class
- BIt is unrelated to the illness and is normal for his age
- CHe may feel worried, jealous or left out and needs attention and information
- DHe has developed attention deficit hyperactivity disorder and needs medicine
8.ยาก
The parents of a 9-year-old who wets the bed most nights have been punishing him. What is the best advice?
- AStop punishing him, praise dry nights and consider a bedwetting alarm
- BStop all drinks after lunch and keep him in nappies
- CWake him every hour through the night and make him change his own sheets
- DWait, as no help is available until he is a teenager
เฉลย
- 1. A · ไอเสียงเห่าคล้ายแมวน้ำ
- 2. C · About 4 to 6 months
- 3. D · Daily levothyroxine, usually for life
- 4. C · Stop the transfusion
- 5. A · Slow heart rate, low blood pressure and low body temperature
- 6. D · 38.0 °C (100.4 °F) or higher
- 7. C · He may feel worried, jealous or left out and needs attention and information
- 8. A · Stop punishing him, praise dry nights and consider a bedwetting alarm
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